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General NPI Number Information
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NPI Number | 1043345549
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Entity Type | Organization
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Legal Business Name | PRIMARY HEALTHCARE ASSOCIATES, INC.
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 2111 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-2428
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Country | US
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Telephone | 330-744-0221
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Fax | 330-744-4716
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Provider Business Mailing Address
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Address Line | 2111 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-2428
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Country | US
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Telephone | 330-744-0221
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Fax | 330-744-4716
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BENJAMIN M HAYEK
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Credential | M.D.
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Telephone | 330-744-0221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 35043267H
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License Number State | OH
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